Evidence map›Paper›PMID 31151395›Full record

ArticleBMC public health2019

Domestic violence and perinatal outcomes - a prospective cohort study from Nepal.

Kunta Devi Pun, Poonam Rishal, Elisabeth Darj, Jennifer Jean Infanti, Shrinkhala Shrestha, Mirjam Lukasse, Berit Schei, ADVANCE Study Group

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Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
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24citing papers in PubMed, 4 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kunta Devi PunDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway. kunta.devi.pun@ntnu.no.ORCID http://orcid.org/0000-0002-6861-7395
Poonam RishalDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Elisabeth DarjDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Jennifer Jean InfantiDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Shrinkhala ShresthaKathmandu University School of Medical Sciences, GPO 11008, Kathmandu, Kavre, Dhulikhel, Nepal.
Mirjam LukasseFaculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Berit ScheiDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
ADVANCE Study Group

Funding

Research Council of Norway 220893Samarbeidsorganet 16/29034
6 · The paper itself

Abstract

backgroundDomestic violence is one of the most common forms of violence against women. Domestic violence during pregnancy is associated with adverse perinatal and maternal outcomes. We aimed to assess whether domestic violence was associated with mode of delivery, low birthweight and preterm birth in two sites in Nepal.

methodsIn this prospective cohort study we consecutively recruited 2004 pregnant women during antenatal care at two hospitals between June 2015 and September 2016. The Abuse Assessment Screen (modified) was used to assess fear and violence. Having ever experienced either fear or violence was defined as any domestic violence. Obstetric outcomes were obtained from hospital records for 1381 (69%) women, selecting singleton pregnancies only. Mode of delivery was assessed as birth by cesarean section or not. A birthweight of less than 2500 g was defined as low birthweight and preterm birth as birth before completion of 37 weeks gestation. Descriptive and multiple logistic regression analyses were performed to assess associations.

resultsTwenty percent of the women reported any domestic violence. Among all 1381 women, 37.6% gave birth by cesarean section. Of those women who delivered by cesarean section, 84.7% had an emergency cesarean section. Less than 10% of the babies were born prematurely and 13.5% were born with low birthweight. We found no significant association between exposure to any domestic violence during pregnancy and risk of a low birthweight baby or birth by cesarean section. However, having experienced both violence and fear was significantly associated with giving birth to a preterm infant [aOR 2.33 (95% CI;1.10-4.73)].

conclusionsDomestic violence is common in Nepal. This is a potential risk factor for severe morbidity and mortality in newborns. We found that the risk of having a preterm baby was higher for pregnant women who experienced both fear and violence. This should be recognized by the health sector. In this study, no significant differences were found in the rate of cesarean section nor low birthweight for women who had experienced any domestic violence compared to those who did not.

Indexed as

Pregnancy OutcomeAdolescentAdultCesarean SectionDomestic ViolenceFemaleHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureNepalPregnancyPremature BirthProspective StudiesYoung AdultCesarean sectionDomestic violenceLow birthweightPerinatal outcomesPreterm birth

Identifiers

PMID31151395
PMCPMC6545012

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.